Physician practices can request an advanced payment of up to 100% of the Medicare payment amount based on a three-month lookback period. The guidance does not specify how the lookback period is determined.
Health care entities must make a request for an accelerated payment under the APP by submitting a form to Novitas, the Pennsylvania Medicare Administrative Contractor (MAC). Pa. is Jurisdiction L, Part B for physicians --
Once requested, CMS anticipates Novitas issuing payment within seven calendar days.
To qualify for the APP, you must:
- Have billed Medicare for claims within 180 days prior to the date of the request.
- Not be in bankruptcy, or under active medical review or program integrity investigation.
- Not have outstanding delinquent Medicare overpayments.